19D2028667 CLIA NUMBER - SOUTHERN BRAIN & SPINE

Laboratory Demographics

  • CLIA Code: 19D2028667
  • Facility Name: SOUTHERN BRAIN & SPINE
  • Facility Address: 3798 VETERANS MEMORIAL BLVD, STE 200
    METAIRIE, LA
    ZIP 70002
  • Facility Phone: 504 454-0141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAJEEB M. THOMAS
  • NPI Number: 1801982707
  • Taxonomy: 207T00000X - Neurological Surgery

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CLIA Record

Field Name Field Value
CLIA Number 19D2028667
LAB Type Physician Office
Facility Name SOUTHERN BRAIN & SPINE
Street 3798 VETERANS MEMORIAL BLVD, STE 200
City METAIRIE
State LA
ZIP 70002
Phone 504 454-0141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Physician Office
Lab Director NAJEEB M. THOMAS

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This page was last updated on: 9/29/2025